Provider Accreditation

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General Business Information

Provider Name *

Trading As Name *

Proof of Legal status

Company Registration Number

VAT Registration Number

SIC Code Description

Years in Business

Number of Full Time Staff Members *

Training Material

Program Approval

Already Accredited with other SETA Yes No

Primary Accreditation Number *

Letter of Referral *

Primary Accreditation Letter *

* Indicates mandatory fields

General Site Information

Main Campus/Training Facility/Address Information

Training Centre/Campus Name *

Training Centre/Campus Email *

Training Centre/Campus phone *

Training Centre/Campus Fax

Street1 *

Street2 *

Street3 *

Province *

City

Suburb *

* Country

Zip

Contact Details

Contact Person Name *

Contact Person Surname *

Telephone Number *

Cell Number *

Email Address *

Job Title


Main Campus Qualification

Qualification	*

Type	ID No	Unit Standard Title	Pre-2009 NQF Level	NQF Level	Credits	SETA Learning Material	Provider Learning Material


Main Campus Skills Programme

Skills Programme	*

Type	ID No	Unit Standard Title	Pre-2009 NQF Level	NQF Level	Credits


Main Campus Learning Programme

Learning Programme	*

* Indicates mandatory fields

Assessor / Moderator

Assessor

Appointment Letter / SLA

Notification Letter

Moderator

Appointment Letter / SLA

Notification Letter

Document upload

CIPC/DSD Documents *

Tax Clearance *

Certified Copies Of Qualifications *

Proof of Ownership or Lease Agreement and (Utility Bill) *

Organogram *

Learning Material *

Director(s) SA ID / Visa / Passport / Permanent residence *

Workplace Agreement *

Letter of Good Standing *

Memoranda of Understanding

Financial Viability *

QCTO Referral Letter *

Signed Tool *

Floor Plan *

Add Satellite Campus Yes No

* Indicates mandatory fields

Satellite Campus #1

Satellite Campus Name *

Email *

Phone

FAX

Satellite Campus Address

Street1 *

Street2 *

Street3 *

* Country

Province *

Suburb *

City

Zip

Satellite Campus Assessor

Assessor * *

Assessors

Appointment Letter / SLA

Satellite Campus Moderator

Moderator *

Moderators

Appointment Letter / SLA

Satellite Campus Qualification

Qualification

Type	ID No	Unit Standard Title	Pre-2009 NQF Level	NQF Level	Credits	SETA Learning Material	Provider Learning Material	Select

Satellite Campus Skills Programme

Skills Programme

Satellite Campus Learning Programme

Learning Programme

* Indicates mandatory fields